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Form 18 Plant Risk Assessment

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					                                                                                                                 Form 18: Plant Risk Assessment
                                                PLANT:	                                                                         Organisation:		

                                                How	is	the	plant	used?	                                                         Who	uses	the	plant?		                                                        	


                                                            Hazard                        Risk                          Determined                Implemented       Expected	    Sign	off	on	    Date	of	
                                                                                                                      Control	Measures                 by:           date	of	    completion     Completion
                                                                                                                                                                   completion




                                                                            Probability
                                                                                                        Risk	Rating

                                                                                          Consequence




Golden Plains Shire Council - Resource Manual
                                                Step	One – For each hazard select one category                            Step	Two – Plot both (P) & (C) onto the Matrix                 Step	Two –
                                                from Probability column and one category from the                                                                                        Address High and
                                                Consequence columns                                                                           Risk	Rating	Matrix                         Medium risks

                                                       (Probability)                  Consequence	(C)                               A           B           C              D      E
                                                   1      Expected              A              Death                       1      High        High         High      Medium     Medium

                                                   2      Often                 B              Permanent Disability        2      High        High       Medium      Medium      Low

                                                   3      Sometimes             C              Lost Time Injury            3      High       Medium      Medium        Low       Low

                                                   4      Rarely                D              Medical Treatment           4    Medium       Medium        Low         Low       Low

                                                   5      Highly Unlikely        E             First Aid Injury            5    Medium         Low         Low         Low       Low




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Description: Form 18 Plant Risk Assessment